Dedonato, Donald M

Dedonato, Donald M is an individual health care provider with primary practice located at 1630 W Central Rd , Arlington Hts IL 60005-2407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Dedonato, Donald M can be contacted via phone (847) 394-3553.

Contact Information

Primary practice address
1630 W Central Rd Arlington Hts IL 60005-2407
Phone: (847) 394-3553
Fax: (847) 394-3574
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Illinois

Profile Details

NPI number 1114925450
LBN Legal business name Dedonato, Donald M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Dec 28th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114925450 NPPES
Illinois Other 31602433 BCBS PROVIDER NUMBER
Illinois Other CA5143 BCBS PROVIDER NUMBER

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